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韩国儿科医生对母乳喂养障碍及改进措施的认知调查

Survey of Korean pediatrician's perceptions of barriers to and improvements in breastfeeding.

作者信息

Bae Seong Phil, Lee Woo Ryoung, Hahn Won-Ho, Shin Hye-Jung, Ahn Young Min, Shin Son Moon, Kim Yong Joo, Kim Ellen Ai-Rhan, Shin Youn Jeong, Yi Dae Yong, Lee Soon Min, Lee Juyoung, Lee Jin A, Chung Sung-Hoon, Jung Euiseok, Choi Eui Kyung, Heo Ju Sun

机构信息

Department of Pediatrics, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.

Department of Pediatrics, National Medical Center, Seoul, Korea.

出版信息

Clin Exp Pediatr. 2022 Nov;65(11):540-546. doi: 10.3345/cep.2022.00311. Epub 2022 Jul 29.

Abstract

BACKGROUND

Although the benefits of breastfeeding are broadly acknowledged with the efforts of the government and several medical societies, the rate of exclusive breastfeeding through 6 months is lower in Korea than in developed countries.

PURPOSE

This study aimed to investigate pediatricians' perceptions of breastfeeding barriers and the current breastfeeding counseling environment and propose government policies to encourage breastfeeding in Korea.

METHODS

Fourteen survey questions were developed during meetings of Korean Society of Breastfeeding Medicine experts. The Korean Pediatric Society emailed a structured questionnaire to domestic pediatricians registered as official members of the Korean Pediatric Society on May 4, 2021, and June 3, 2021. This study examined the survey responses received from 168 pediatricians.

RESULTS

The 168 respondents included 62 professors, 53 paid doctors, and 53 private physicians. Breastfeeding was recommended by 146 Korean pediatricians (86.9%). However, only 99 responders (59%) currently provide breastfeeding counseling in hospitals. Most respondents stated providing less than 15 minutes of breastfeeding counseling time in the clinic. Moreover, 89.88% of the respondents responded that they would participate in breastfeeding counseling education if an appropriate breastfeeding counseling program was newly established.

CONCLUSION

This study showed that, although Korean pediatricians had a positive attitude toward breastfeeding, limited counseling was provided for parents. Along with policy support to improve the medical environment through the establishment of an appropriate breastfeeding counseling program, high-quality counseling and an increased breastfeeding rate are expected.

摘要

背景

尽管在政府和多个医学协会的努力下,母乳喂养的益处已得到广泛认可,但韩国纯母乳喂养至6个月的比例低于发达国家。

目的

本研究旨在调查儿科医生对母乳喂养障碍和当前母乳喂养咨询环境的看法,并提出鼓励韩国母乳喂养的政府政策。

方法

韩国母乳喂养医学协会专家会议期间制定了14个调查问题。韩国儿科学会于2021年5月4日和2021年6月3日向注册为韩国儿科学会正式会员的国内儿科医生发送了一份结构化问卷。本研究调查了168名儿科医生的调查回复。

结果

168名受访者包括62名教授、53名带薪医生和53名私人医生。146名韩国儿科医生(86.9%)推荐母乳喂养。然而,目前只有99名受访者(59%)在医院提供母乳喂养咨询。大多数受访者表示在诊所提供的母乳喂养咨询时间少于15分钟。此外,89.88%的受访者表示,如果新设立合适的母乳喂养咨询项目,他们会参加母乳喂养咨询教育。

结论

本研究表明,尽管韩国儿科医生对母乳喂养持积极态度,但为家长提供的咨询有限。通过建立合适的母乳喂养咨询项目来改善医疗环境的政策支持,有望带来高质量的咨询和更高的母乳喂养率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc67/9650358/efe4bde54d13/cep-2022-00311f1.jpg

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